SIMON FRANCIS DOUGHERTY PA-C
NPI 1780660761
Physician Assistant - Surgical in Fresno, CA

Q: What is Simon Dougherty's NPI number?

The NPI number for Simon Dougherty is 1780660761. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Q: What is Simon Dougherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Simon Dougherty was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment

85.78/100

CMS Quality Rating

255 N HERWALDT DR, FRESNO, CA 93701(559) 459-7300(559) 459-3750 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Simon Francis Dougherty Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMON FRANCIS DOUGHERTY PA-C (NPI 1780660761) is an individual surgical provider in Fresno, California, licensed in California (PA17805) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1780660761

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameSIMON FRANCIS DOUGHERTYCredential: PA-C

Location Address255 N HERWALDT DRFresno, CA 93701-2186

Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681

Phone(559) 459-7300

Fax(559) 459-3750

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateDecember 21, 2005

Last NPPES UpdateJune 30, 2014

✔ NPI 1780660761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA17805

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA17805 (CA)

255 N HERWALDT DR, Fresno, CA 93701

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Other Identifiers 1

Medicare UPINQ40851CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Simon Francis Dougherty Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547208555

PECOS Enrollment IDI20050420000912

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

213 services86 patients

Release of middle or lower spinal cord and/or nerves, single segment 63057

This procedure involves relieving pressure on the middle or lower spinal cord or nerves. A single section of the spine is focused on. It can help reduce pain, improve mobility, and enhance overall quality of life.

129 services66 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

91 services76 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

87 services73 patients

Fusion of additional segment of spine with partial removal of spine bone and disc 22634

This procedure involves merging an extra part of your spine with a partial removal of your spine bone and disc. It's done to provide stability, reduce pain, and correct deformities. It's like creating a natural bridge of bone that stabilizes the spine.

85 services50 patients

Incision or removal of spine bone segment, each additional segment 22216

This procedure involves making an incision to remove a portion of the spine bone, often to alleviate pressure or pain. If more segments need to be removed, the process is repeated for each additional segment. This is done under general anesthesia.

83 services60 patients

Harvest of bone fragment for spine bone graft 20937

A harvest of a bone fragment for a spine bone graft is a procedure where a small piece of bone is taken from another part of your body. This bone is then used to help repair or strengthen areas in your spine that may be damaged or weak.

70 services69 patients

Release of lower spinal cord and/or nerves, single segment 63056

This procedure involves freeing the lower spinal cord or nerves from any compression in a single segment. It can alleviate pain or discomfort, improve mobility, and enhance overall quality of life. This is performed by a skilled surgeon under anesthesia.

69 services67 patients

Incision or removal of lower spine bone segment 22214

This procedure involves making a small incision in the lower back to access the spine. A segment of bone may be removed to relieve pressure on nerves, improve mobility, or treat conditions like herniated discs or spinal stenosis. Recovery varies, but physical therapy may follow.

67 services66 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

67 services66 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

64 services62 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

48 services45 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc 22552

This is a surgical procedure where the upper spine bones are joined together after removing a disc. This helps to relieve pressure on the spinal cord or nerves. If more discs need to be removed, the same process is repeated for each additional disc.

42 services20 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

35 services21 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

21 services21 patients

Exploration of spine fusion 22830

Exploration of spine fusion is a procedure to examine a previously performed spinal fusion surgery. The process checks the success of the fusion or finds potential issues, such as hardware failure or non-union of the fused vertebrae. It's a diagnostic tool to ensure healing.

20 services19 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

20 services18 patients

Placement of stabilizing device to front, 4-7 spine bone segments 22846

This procedure involves placing a stabilizing device on the front of your spine, specifically between the 4th and 7th bone segments. This helps to support and stabilize your spine, improving alignment and reducing pain or discomfort.

18 services18 patients

Removal of segmental stabilizing device from back of spine 22852

This procedure involves the removal of a device from the back of your spine that was previously placed to provide stability. It's typically done when the spine has healed or improved enough to function without additional support.

18 services17 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.3

Promoting Interoperability

100

Improvement Activities

Cost

61.3

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

Clinic/Center (Federally Qualified Health Center (FQHC))